Identity Hormones Ut LLC
NPI 1669104402 · Family Medicine Physician · Salt Lake City, UT
Identity Hormones Ut LLC is a Family Medicine Physician organization in Salt Lake City, UT (NPI 1669104402).
Provider details
- NPI number
- 1669104402
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teah Smith, Credentialing Manager(901) 205-3999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-29
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Frequently asked questions
- What is Identity Hormones Ut LLC's NPI number?
- Identity Hormones Ut LLC's National Provider Identifier (NPI) is 1669104402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Identity Hormones Ut LLC?
- Identity Hormones Ut LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Identity Hormones Ut LLC located?
- Identity Hormones Ut LLC's practice location on file with NPPES is 1327 E 2100 S Ste 101, Salt Lake City, UT 84105-3763.
- What is Identity Hormones Ut LLC's phone number?
- The practice phone number listed in the NPPES registry for Identity Hormones Ut LLC is (602) 354-3925.
- Who is the authorized official for Identity Hormones Ut LLC?
- The authorized official listed on Identity Hormones Ut LLC's NPPES record is Teah Smith, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Identity Hormones Ut LLC's NPI active?
- Yes — Identity Hormones Ut LLC's NPI (1669104402) is active in the NPPES registry as of the last update on 2023-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.